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Suicide is the second leading cause of death among adolescents, and rates of suicidal thoughts and behaviors (STBs) are climbing. 1 Promising interventions such as dialectical behavior therapy (DBT) are available to treat suicidal youth, and new approaches may facilitate greater intervention engagement, adherence, and effectiveness. 2 Digital tools (eg, personal smartphones) are a particularly promising avenue and could enhance existing, evidence-based interventions by providing new opportunities for assessment and intervention between sessions.

To this end, Ksana Health has developed the Vira digital behavior change platform, which consists of a patient-facing smartphone app and a linked, Health Insurance Portability and Accountability Act (HIPAA)–compliant Web portal for clinicians. The smartphone app monitors patients’ proximal suicide risk factors (eg, sleep disturbance, low mood) using mobile …